PECS Mentor Debrief Form
Please complete this form after your meeting with your mentee or after participating in a PECS-sponsored volunteer opportunity, whether in-person, online, or asynchronous. THIS FORM WILL BE USED TO TRACK AND VERIFY VOLUNTEER HOURS AND SERVICE. PECS can provide lifetime volunteer hour logs upon request. If you require a signed log, please let us know at least 1 week in advance.

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Mentor Full Name (First Last) *
Mentor Email (@vcu.edu) *
Mentee Full Name *
If you do not know the mentee's full name or correct spelling, please indicate your best guess. If you participated in an asynchronous opportunity, please write N/A here.
Mentee School *
RPS schools include Open High School, George Wythe, John Marshall, Huguenot, Richmond Community, Franklin Military Academy, Armstrong, and Thomas Jefferson. Write N/A if you do not know or if this does not apply.
Required
Date of Session *
MM
/
DD
/
YYYY
Duration of Session *
Type of Session (select all that apply): *
Required
How did you interact with your mentee? *
Write N/A if this does not apply.
Required
Please note your mentee's level of engagement, understanding, writing proficiency, improvements, and other observations here. * *
Write N/A if this does not apply.
On a scale of 0-10, please rate your mentee's level of engagement. *Only note 0 if your mentee did not show up.
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List any additional comments or concerns. Any notes will be helpful for mentors in the long run!
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